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20121202
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. the challenge now is less military, the security environment is improving. it's now -- how doout yao get local governance in? get economic development so people have opportunities? just over the past year, if we had sat in this conference room a year ago and said, hey in december of 2013, sew mallways going to have a president, a constitution, parliament, al-shabab won't be in control of widespread areas across the country, we would all say, you're crazy. that's not going to happen, but that's exactly what did happen because the africans decided that's what they wanted to have happen. one little personal anecdote in that regard. i was afforded the great privilege, i believe, of last autumn, autumn of 2012 in a meeting in nairobi with the military chiefs of uganda and other countries. they had been directed by their heads of state, you guys figure out the military strategy to get -- defeat al-shabab in mogadishu first and then more broadly across the country. and they did just that. as you might suspect, wild disagreement how to do that. lots of different ideas of the right approach. ultimately
are not in a position to do things that we otherwise would be in a position to do in terms of shaping the environment to prevent war. so in my view, america's fiscal picture increases the risk of conflict around the globe. maybe not always involving the u.s., but certainly the risks are increasing globally based on our fiscal picture. the fifth point i would want to make is that the budget deal requires us to deal with a full deck of cards. and those people who keep wanting to take things off the table, in my view, are not being rational in terms of addition and subtraction. and when i say a full deck of cards, that includes defense participating in deficit reduction. this cannot be in the case of defense a sledgehammer approach. it's going to take a long runway dealing with these issues over time to give the defense department, and they can make, in my view, very significant changes in the budget, but do it in a way that does not damage our security. doing it abruptly as the fiscal cliff does or in a very compressed time frame is not only inefficient, i think it endangers our security and our risk.
about humana care as an example. our objective is to keep people at home in an environment they feel most comfortable with as opposed to an institution. i mentioned we produce 26% reignition rates. the goal there is to continue to encourage people to stay home and take care of them at home. that helps with the waste in that regard. ability to not have duplicative type after services are an example of that. someone overlooked in the whole individual house that observation is opposed to the silos. >> can we go back to medicare for a second? where is that waste and what have you seen as an organization, the waste being and how would you suggest that the tackle? >> the waste is across the platform. i think this week there was an article in the times about fraud and activities going on in that area. so fraud is a component of that. but for us as an organization, the largest waste is the lack of integrated care. what that means is duplication of services for people are in the wrong aspect of that. i sigh you shake your head come this way must not be answering your question. [inaudible] >>
understanding that we're in a frugal environment. you have a tough jock. ijob i think if we can work together we institute the forms, respond in a creative, compassionate way, and yet keep an eye on the bottom line. i think that's what we people of the country and those affected would want us to do. right now there is heart break in maryland. and what i do want to comment on the things that -- we want to thank the president for issuing so quickly and promptly the decoration of general disaster deep ration. we want to thank secretary gamp. janet napolitano. you declared we're eligible for public assistance. we want to thank you for you that. our project problem is the individuals and hud, i never thought hud would get high marks in the eastern shore. you are. and also in other part of the state where there's compelling need in which you responded particularly to the most vulnerable population and those that in assisted or subsidized houses. thank you. we in maryland, first of all, we are a water state. we have the ocean, we have the bay, we have rivers that leave the bay. it could flood and send
in that environment and take whatever marginal advantage they can, not only with alawite and kurds, but everybody who remembers the experience in iraq with al qaeda. sunni jihad is as well, particularly vis-À-vis the united states or the surrogate the israelis. that is a real concern. it's one of the real tragedies of this entire affair sobol i think ambassador ford is absolutely correct by working very hard and diligently to bolster moderates, to help them both politically and materially to succeed and to win the day in syria and defeat the assad regime is absolutely the way to go and to have done that as quickly as possible. unfortunately despite ambassador ford's best efforts, my sense is that it's not really been the administration's policy, at least in practice over the last 20 months. therefore, we are perilously close. i must say i'm quite despairing that the window has almost closed in terms of an effect of u.s. ability to intervene in a meaningful way and have our interest in voice represented in a post to sawed syria and achieve anything that looks like the kind of stable political transit
Search Results 0 to 4 of about 5